Nelson, Theresa M

Nelson, Theresa M is an sole proprietor health care provider with primary practice located at 2570 Lakeshore Cir , Port Charlotte FL 33952-4116. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Nelson, Theresa M can be contacted via phone (941) 258-0995.

Contact Information

Primary practice address
2570 Lakeshore Cir Port Charlotte FL 33952-4116
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X MA#54341 Florida

Profile Details

NPI number 1639303449
LBN Legal business name Nelson, Theresa M
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2009
Last updated May 7th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639303449 NPPES
Florida Other MA 54341 MASSAGE THERAPIST

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